NPIMap

Organization Active NPI

Medrite LLC

Doing business as Medrite Okmulgee

  • Primary Care Clinic/Center
  • Tulsa, OK
National Provider Identifier
1336553502
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEDRITE LLC
Doing business as
Medrite Okmulgee
Practice address
7307 S Yale Ave Ste 101
Tulsa, OK 74136-7028
Phone
(918) 710-2062
NPI assigned
Jun 16, 2014
Last updated
Jun 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Benjamin Bradley, APRN
Title
Ceo
Phone
(918) 779-0709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7307 S Yale Ave Ste 101
Tulsa, OK 74136-7028

Mailing address

109 W 6TH St
Okmulgee, OK 74447-5015
Phone (918) 779-0709

Other names 1

  • Medrite Okmulgee Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1336553502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W 6TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744475015",
            "telephone_number": "918-779-0709",
            "fax_number": "918-392-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 S YALE AVE STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367028",
            "telephone_number": "918-710-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDRITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-779-0709",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medrite Okmulgee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.